IndividualActive
Jonathan Hicks
NPI 1154650398 · Social Worker · Portland, OR
Provider details
- NPI number
- 1154650398
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
722 Ne 162nd Ave
Portland, OR 97230-5760
Phone: (503) 255-4205
Approximate (ZIP-level) locationGet directions
Mailing address
722 Ne 162nd Ave
Portland, OR 97230-5760
Registry dates
- Enumerated
- 2009-12-17
- Last updated
- 2009-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.